Displaying 19401-19410 of 1611142 results.
ID:
19401
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
349287
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19402
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1927682
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
14
ID:
19403
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
313362
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19404
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
313364
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19405
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
313361
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19406
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
197558
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19407
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
197557
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19408
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
903843
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
19409
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1661799
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
19410
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1946589
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
32
Qty Limit Days:
30
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